諸方受(shou),男,漢(han)族,上海人。主任醫(yi)(yi)師(shi),教(jiao)授,研究(jiu)(jiu)生導(dao)師(shi)。畢(bi)業(ye)于北京醫(yi)(yi)學院(yuan),畢(bi)業(ye)后分配至(zhi)(zhi)江蘇省(sheng)中(zhong)(zhong)醫(yi)(yi)院(yuan)工作,曾任江蘇省(sheng)中(zhong)(zhong)醫(yi)(yi)院(yuan)骨(gu)傷科主任、南京中(zhong)(zhong)醫(yi)(yi)藥大學骨(gu)傷科教(jiao)研室(shi)主任、中(zhong)(zhong)國(guo)中(zhong)(zhong)醫(yi)(yi)研究(jiu)(jiu)院(yuan)客座教(jiao)授等(deng)職。為(wei)第一(yi)至(zhi)(zhi)五批(pi)全國(guo)老中(zhong)(zhong)醫(yi)(yi)藥專家學術(shu)經(jing)驗繼(ji)承(cheng)工作指導(dao)老師(shi),石氏傷科第四代傳人,享受(shou)國(guo)務院(yuan)政府特殊(shu)津貼。擅長診治中(zhong)(zhong)西醫(yi)(yi)結(jie)合(he)治療骨(gu)折。
1947年起,在上海青浦(pu)縣(xian)開業從事中醫。
1957年(nian),北京醫(yi)學院畢業后到江(jiang)蘇(su)省中(zhong)(zhong)醫(yi)院骨傷(shang)科(ke)工作,曾任(ren)江(jiang)蘇(su)省中(zhong)(zhong)醫(yi)院骨傷(shang)科(ke)主(zhu)任(ren),南(nan)京中(zhong)(zhong)醫(yi)藥大學骨傷(shang)科(ke)教研室(shi)主(zhu)任(ren),中(zhong)(zhong)國中(zhong)(zhong)醫(yi)研究院客(ke)座教授等職。
1996年退休后,在江蘇(su)省中(zhong)醫院繼續工作半天。
參(can)加編寫《中(zhong)醫傷科(ke)學(xue)》、《中(zhong)醫骨傷科(ke)學(xue)》、《中(zhong)醫學(xue)》、《常(chang)見病中(zhong)醫臨床(chuang)手冊(ce)》、《中(zhong)醫學(xue)概論(lun)》、《中(zhong)醫護病學(xue)》等6本(ben)教材和(he)專(zhuan)著。
1.丁亮,諸方受,王培民,范競.紫荊皮(pi)在古籍消腫止痛類外敷方中(zhong)(zhong)的應用[J].中(zhong)(zhong)國中(zhong)(zhong)醫急癥(zheng),2012,21(03):428-429+435.
2.諸方受.急性(xing)腰(yao)扭傷診治瑣談(tan)[J].江(jiang)蘇中醫,1999,(10):3-4.
3.諸方受,蔣東明,陳茂義.外傷性臟躁癥——癔病的(de)診(zhen)治(zhi)(附癔病性癱瘓4例報告)[J].中(zhong)醫正骨,1997,(06):22-23.
4.諸方受,李寧,黃佰靈.治(zhi)愈(yu)外(wai)傷性癔病(bing)截癱(tan)一例[J].南京中(zhong)醫(yi)藥大學學報,1997,(01):46-47.
5.諸(zhu)方受(shou).頸部外傷合并神(shen)經(jing)癥狀(zhuang)11例的治療體(ti)會[J].江蘇中醫,1995,(10):20-21.
6.諸方受(shou),許建安,趙毅,黃桂(gui)成,梅炯,李寧.中藥頸枕(zhen)的(de)研制與臨床應用375例小結[J].中國(guo)中醫骨傷科,1995,(05):40-42.
7.李寧(ning),諸方(fang)受.改(gai)良藥物頸(jing)枕治療頸(jing)椎(zhui)病212例報告[J].中(zhong)醫雜志,1994,(08):484-486.
8.諸方(fang)受(shou).腰(yao)椎后關節(jie)錯縫診治瑣(suo)談[J].中(zhong)醫正骨,1992,(03):1-2.
9.諸方受.正確使(shi)用小夾板治療骨折進一(yi)步(bu)提高臨(lin)床療效(xiao)——為紀念方先之(zhi)教授誕辰85周年而作[J].中醫正骨,1991,(04):1-2.
10.諸方受(shou).隱性的第三腰(yao)椎橫(heng)突綜合癥[J].吉(ji)林中醫(yi)藥,1990,(01):19-20.
11.諸方受.化痰(tan)消腫方治肩臂足跟痛的經驗(yan)介紹(shao)[J].骨傷科通訊,1989,(01):8-10.
12.諸方受.化痰消腫方治(zhi)肩臂足(zu)跟(gen)痛[J].南京中醫(yi)學(xue)院學(xue)報,1987,(04):71-72.
13.諸(zhu)方(fang)受.石筱山(shan)老師(shi)傷科臨床經驗點滴[J].江(jiang)蘇中醫(yi)雜志,1986,(05):15.
14.諸方受.非手術(shu)治愈“腰突癥”的機理初(chu)探(tan)[J].骨傷科(ke)通(tong)訊,1985,(01):42-45.
15.諸方受,鄭祖剛,李(li)開(kai)金,許(xu)建安,蔡(cai)文(wen)輝(hui),卜慧.小夾(jia)板為主治療(liao)“難治型”肱骨(gu)干(gan)骨(gu)折(zhe)的體(ti)會[J].新中醫(yi),1984,(03):23-25.
16.諸方受(shou).治療31例胸、腰椎(zhui)骨折的初步小結[J].江(jiang)蘇中醫,1964,(09):9-12.
17.諸(zhu)方(fang)受.治療(liao)19例肋(lei)骨(gu)骨(gu)折(zhe)簡介[J].江蘇(su)中醫,1962,(09):6-10.
18.諸方(fang)受.中(zhong)醫傷科和(he)骨科的發(fa)展(zhan)簡史(shi)[J].中(zhong)醫雜志(zhi),1959,(05):64-67.
19.諸方受.閉合性骨折39例治(zhi)療介紹[J].中醫雜志,1958,(07):457-461.
20.諸方受.祖國醫學對于風濕病關節型(xing)之記(ji)載及其治療概述[J].上海中(zhong)醫藥雜志,1958,(01):17-21.
誠師敬業潛心治學
諸(zhu)老早(zao)于(yu)(yu)(yu)(yu)年(nian)投身(shen)杏林之(zhi)時(shi)乃(nai)中(zhong)(zhong)醫備受(shou)歧視之(zhi)秋(qiu),政策上(shang)冷落與師授口述的(de)(de)(de)教(jiao)(jiao)學(xue)方(fang)(fang)式(shi)使(shi)之(zhi)啟(qi)蒙教(jiao)(jiao)育(yu)頗為(wei)(wei)(wei)艱辛。初入(ru)茅廬,誠實(shi)為(wei)(wei)(wei)先,講究(jiu)尊師敬業,所謂“先生(sheng)領(ling)進門,得道(dao)在(zai)(zai)自(zi)身(shen)”,在(zai)(zai)于(yu)(yu)(yu)(yu)啟(qi)迪(di)后(hou)(hou)(hou)學(xue)既(ji)要(yao)(yao)源(yuan)于(yu)(yu)(yu)(yu)前(qian)人(ren),又(you)不(bu)囿于(yu)(yu)(yu)(yu)前(qian)人(ren),繼(ji)承(cheng)學(xue)習之(zhi)綱(gang)要(yao)(yao)。滴水(shui)穿石流(liu)逝(shi)光陰而(er)鑿成,實(shi)學(xue)與悟性(xing)寓意于(yu)(yu)(yu)(yu)勞其(qi)筋骨(gu),苦其(qi)心志。諸(zhu)老早(zao)期教(jiao)(jiao)育(yu)思想立(li)足(zu)于(yu)(yu)(yu)(yu)較(jiao)完整、準(zhun)確地繼(ji)承(cheng)石氏傷(shang)(shang)(shang)科(ke)的(de)(de)(de)學(xue)術思想與經(jing)驗(yan)專長(chang),基石以(yi)(yi)博學(xue),觸類而(er)旁(pang)通(tong)。例(li)如正復肩關(guan)節(jie)脫位(wei)(wei),可有多(duo)種(zhong)方(fang)(fang)法(fa)(fa),諸(zhu)老在(zai)(zai)受(shou)業石氏傷(shang)(shang)(shang)科(ke)及(ji)后(hou)(hou)(hou)來獨立(li)行醫時(shi),均以(yi)(yi)直接(jie)牽(qian)引(yin)法(fa)(fa)治(zhi)(zhi)療,屢試皆效(xiao)。但年(nian)曾(ceng)遇(yu)二例(li)朧骨(gu)外(wai)科(ke)頸(jing)骨(gu)折均為(wei)(wei)(wei)外(wai)院采(cai)用(yong)氏法(fa)(fa)正復肩脫位(wei)(wei)所引(yin)起。由于(yu)(yu)(yu)(yu)解剖結構關(guan)系,以(yi)(yi)氏法(fa)(fa)復位(wei)(wei)時(shi),作用(yong)于(yu)(yu)(yu)(yu)肪骨(gu)外(wai)科(ke)頸(jing)的(de)(de)(de)力(li)量較(jiao)大(da),確有并發(fa)外(wai)科(ke)頸(jing)骨(gu)折之(zhi)弊端,而(er)采(cai)用(yong)直接(jie)牽(qian)引(yin)法(fa)(fa)卻無此(ci)后(hou)(hou)(hou)顧之(zhi)慮。這種(zhong)區(qu)別于(yu)(yu)(yu)(yu)一般教(jiao)(jiao)科(ke)書的(de)(de)(de)方(fang)(fang)法(fa)(fa)曾(ceng)介紹發(fa)表于(yu)(yu)(yu)(yu)當時(shi)的(de)(de)(de)《江蘇中(zhong)(zhong)醫雜(za)志》。胸脅內(nei)(nei)(nei)(nei)(nei)傷(shang)(shang)(shang)的(de)(de)(de)治(zhi)(zhi)療向來為(wei)(wei)(wei)石筱山先生(sheng)的(de)(de)(de)臨證(zheng)特色之(zhi)一。早(zao)于(yu)(yu)(yu)(yu)年(nian),諸(zhu)老在(zai)(zai)《中(zhong)(zhong)醫雜(za)志》發(fa)表“胸脅內(nei)(nei)(nei)(nei)(nei)傷(shang)(shang)(shang)證(zheng)治(zhi)(zhi)探討”一文,從傷(shang)(shang)(shang)科(ke)古籍(ji)所載(zai)胸脅部位(wei)(wei)之(zhi)傷(shang)(shang)(shang)氣、傷(shang)(shang)(shang)血、氣血兩傷(shang)(shang)(shang)及(ji)愉穴傷(shang)(shang)(shang)等內(nei)(nei)(nei)(nei)(nei)傷(shang)(shang)(shang),論(lun)及(ji)如何區(qu)別于(yu)(yu)(yu)(yu)勞倦內(nei)(nei)(nei)(nei)(nei)傷(shang)(shang)(shang)、胸膜炎等內(nei)(nei)(nei)(nei)(nei)科(ke)病(bing)證(zheng),把傷(shang)(shang)(shang)科(ke)內(nei)(nei)(nei)(nei)(nei)傷(shang)(shang)(shang)臨床(chuang)證(zheng)治(zhi)(zhi)歸(gui)納為(wei)(wei)(wei)若(ruo)干(gan)類,逐(zhu)一加以(yi)(yi)辨析,附(fu)以(yi)(yi)病(bing)例(li)驗(yan)案于(yu)(yu)(yu)(yu)后(hou)(hou)(hou)。立(li)法(fa)(fa)處方(fang)(fang)既(ji)有前(qian)人(ren)方(fang)(fang)藥(yao)隨證(zheng)加減又(you)有自(zi)己(ji)用(yong)藥(yao)心得以(yi)(yi)供讀(du)者借鑒(jian),足(zu)見諸(zhu)老崇于(yu)(yu)(yu)(yu)石氏真(zhen)傳(chuan),尤注意醫理的(de)(de)(de)闡釋,以(yi)(yi)石氏師授為(wei)(wei)(wei)主導,又(you)博采(cai)眾(zhong)家(jia)之(zhi)長(chang),使(shi)胸脅內(nei)(nei)(nei)(nei)(nei)傷(shang)(shang)(shang)的(de)(de)(de)證(zheng)法(fa)(fa)更見完備。嚴(yan)(yan)謹(jin)求實(shi)為(wei)(wei)(wei)諸(zhu)老從醫及(ji)教(jiao)(jiao)育(yu)思想之(zhi)自(zi)律準(zhun)則(ze),治(zhi)(zhi)病(bing)救(jiu)人(ren),枚關(guan)性(xing)命(ming)與功能(neng),稍許差錯都(dou)可造成病(bing)家(jia)終身(shen)遺憾。嚴(yan)(yan)謹(jin)的(de)(de)(de)治(zhi)(zhi)學(xue)之(zhi)道(dao)的(de)(de)(de)內(nei)(nei)(nei)(nei)(nei)涵在(zai)(zai)于(yu)(yu)(yu)(yu)嚴(yan)(yan)于(yu)(yu)(yu)(yu)解剖自(zi)己(ji),每治(zhi)(zhi)愈一個病(bing)人(ren),多(duo)靜心反思是“偶然中(zhong)(zhong)的(de)(de)(de)”,還是“必(bi)然所致”如此(ci)考究(jiu)以(yi)(yi)遴選行之(zhi)有效(xiao)的(de)(de)(de)治(zhi)(zhi)法(fa)(fa)方(fang)(fang)藥(yao)在(zai)(zai)于(yu)(yu)(yu)(yu)去偽存真(zhen),取其(qi)精(jing)要(yao)(yao)著述文章旨(zhi)在(zai)(zai)啟(qi)迪(di)后(hou)(hou)(hou)學(xue),更應慎(shen)之(zhi)又(you)慎(shen),臨床(chuang)經(jing)驗(yan)之(zhi)談(tan)、驗(yan)方(fang)(fang)之(zhi)效(xiao),必(bi)經(jing)反復推(tui)敲,驗(yan)證(zheng)求實(shi)自(zi)己(ji)臨證(zheng)有效(xiao),旁(pang)人(ren)仿之(zhi)亦有效(xiao),方(fang)(fang)作定論(lun),其(qi)孜孜不(bu)倦的(de)(de)(de)科(ke)學(xue)態度可見一斑。
師古不泥融會新知
中(zhong)西醫(yi)(yi)結(jie)(jie)合(he)盛行(xing)于(yu)(yu)年(nian)代(dai),上(shang)溯于(yu)(yu)清代(dai)張錫純(chun)醫(yi)(yi)學(xue)衷中(zhong)參西思(si)(si)想。秉承前賢、獨立行(xing)醫(yi)(yi)實(shi)踐年(nian)后,諸老重又(you)步入現(xian)代(dai)醫(yi)(yi)學(xue)殿堂系(xi)統(tong)研習年(nian),兼融中(zhong)西醫(yi)(yi)理(li)論(lun)與思(si)(si)維方法于(yu)(yu)一體,以(yi)探中(zhong)醫(yi)(yi)正(zheng)骨治傷(shang)之(zhi)真(zhen)諦醫(yi)(yi)學(xue)之(zhi)博,浩如煙海,已知(zhi)未(wei)知(zhi)層出不(bu)窮。以(yi)“痹”證為(wei)(wei)例(li),可羅(luo)列(lie)現(xian)代(dai)醫(yi)(yi)學(xue)病名(ming)幾十余種,涉及臨床多種學(xue)科,治療方藥(yao)(yao)亦(yi)有(you)(you)上(shang)百首之(zhi)眾。宏觀辨證與現(xian)代(dai)微觀檢查的(de)理(li)論(lun)診斷手(shou)段配合(he)有(you)(you)助于(yu)(yu)對(dui)(dui)疾病的(de)深層認(ren)識,辨證與辨病結(jie)(jie)合(he),則(ze)使(shi)(shi)遣方用(yong)(yong)藥(yao)(yao)更具(ju)針對(dui)(dui)性(xing)(xing)、合(he)理(li)性(xing)(xing)。在借鑒雷(lei)公(gong)藤藥(yao)(yao)物治療類(lei)風濕(shi)性(xing)(xing)關節炎(yan)的(de)成功經驗基礎上(shang),取現(xian)代(dai)實(shi)驗研究的(de)免疫(yi)抑(yi)制、抗炎(yan)鎮痛(tong)效(xiao)果(guo)為(wei)(wei)依(yi)據,觸類(lei)旁(pang)通,用(yong)(yong)以(yi)治療以(yi)無菌性(xing)(xing)炎(yan)癥反應為(wei)(wei)病理(li)表現(xian)的(de)頸肩腰腿痛(tong)癥,辨證處(chu)方加用(yong)(yong)雷(lei)公(gong)藤,使(shi)(shi)臨床療效(xiao)優于(yu)(yu)原有(you)(you)效(xiao)果(guo)。諸老還根據自己(ji)的(de)用(yong)(yong)藥(yao)(yao)心得,認(ren)為(wei)(wei)配伍運(yun)用(yong)(yong)時無需(xu)單味先煎,使(shi)(shi)用(yong)(yong)中(zhong)并不(bu)影(ying)響療效(xiao)和(he)發生(sheng)副作(zuo)用(yong)(yong)。
頸椎(zhui)病為人們所(suo)認識的(de)時間并不長,散見(jian)于(yu)(yu)中醫(yi)“痹證”、“痰證”、“頭痛”、“項強”等(deng)癥,“同(tong)病異(yi)治(zhi)(zhi)(zhi)”可以(yi)(yi)“異(yi)曲同(tong)工”。諸老將用之于(yu)(yu)正骨治(zhi)(zhi)(zhi)傷(shang)的(de)動靜結合、內兼(jian)(jian)治(zhi)(zhi)(zhi)的(de)特色延伸于(yu)(yu)頸椎(zhui)病的(de)綜合治(zhi)(zhi)(zhi)療,創(chuang)意以(yi)(yi)提(ti)項旋轉、方藥內治(zhi)(zhi)(zhi)、藥枕墊頸、頸托支架(jia)、功能鍛煉五種方法斌予非手術治(zhi)(zhi)(zhi)療的(de)新內容,別具特色,使(shi)前賢(xian)之法得(de)以(yi)(yi)發展。其立意既包容現代解剖知識,人體機能特點及(ji)其基(ji)本病理變化的(de)實質,又體現整體觀念(nian)、標(biao)本兼(jian)(jian)治(zhi)(zhi)(zhi)之精位。
勤于實踐厚積薄發
正骨(gu)(gu)手(shou)(shou)法(fa)(fa)(fa)(fa)(fa),種類繁多。古有(you)(you)《醫(yi)宗金鑒(jian)》所(suo)(suo)述八法(fa)(fa)(fa)(fa)(fa),今有(you)(you)中西醫(yi)結合經驗八法(fa)(fa)(fa)(fa)(fa),所(suo)(suo)列之(zhi)詳(xiang),多為后(hou)學者仿效(xiao)。但(dan)真正領悟“手(shou)(shou)隨心轉,法(fa)(fa)(fa)(fa)(fa)從手(shou)(shou)出(chu)”確屬不易(yi),一旦步入生(sheng)搬硬套的(de)(de)(de)誤區,勞而(er)(er)無功則(ze)不知其所(suo)(suo)以然。諸老驗之(zhi)以活用,實踐(jian)悟新義(yi),倡導“運動(dong)復(fu)位(wei)(wei)(wei)(wei)(wei)(wei)法(fa)(fa)(fa)(fa)(fa)”猶有(you)(you)獨到之(zhi)處,認為骨(gu)(gu)折后(hou)在(zai)(zai)外力(li)(li)的(de)(de)(de)作用下所(suo)(suo)發生(sheng)的(de)(de)(de)移位(wei)(wei)(wei)(wei)(wei)(wei)變化(hua)(hua),會使(shi)周圍軟(ruan)組織或多或少擠壓充(chong)填于(yu)斷端(duan)間(jian),創傷(shang)血腫(zhong)凝塊所(suo)(suo)形成占位(wei)(wei)(wei)(wei)(wei)(wei)性變化(hua)(hua),致使(shi)組織內(nei)壓力(li)(li)增大(da)(da),單純作用于(yu)局(ju)部(bu)的(de)(de)(de)手(shou)(shou)法(fa)(fa)(fa)(fa)(fa)有(you)(you)加(jia)重(zhong)損(sun)(sun)傷(shang)之(zhi)趨勢。運動(dong)復(fu)位(wei)(wei)(wei)(wei)(wei)(wei)法(fa)(fa)(fa)(fa)(fa)是在(zai)(zai)適(shi)當的(de)(de)(de)牽引下通過(guo)損(sun)(sun)傷(shang)肢體(ti)的(de)(de)(de)運動(dong)變化(hua)(hua)把(ba)肌肉內(nei)在(zai)(zai)的(de)(de)(de)舒(shu)縮動(dong)力(li)(li)與骨(gu)(gu)干支(zhi)撐的(de)(de)(de)杠桿(gan)作用相互(hu)配合,既有(you)(you)助于(yu)嵌(qian)入骨(gu)(gu)折間(jian)的(de)(de)(de)軟(ruan)組織收縮回彈,又可使(shi)斷端(duan)間(jian)的(de)(de)(de)血腫(zhong)凝塊松動(dong)讓位(wei)(wei)(wei)(wei)(wei)(wei),進(jin)而(er)(er)減緩局(ju)部(bu)手(shou)(shou)法(fa)(fa)(fa)(fa)(fa)的(de)(de)(de)直接(jie)受力(li)(li)強度,促進(jin)骨(gu)(gu)折歸(gui)位(wei)(wei)(wei)(wei)(wei)(wei)。如伸直型肪骨(gu)(gu)裸上骨(gu)(gu)折,于(yu)損(sun)(sun)傷(shang)位(wei)(wei)(wei)(wei)(wei)(wei)的(de)(de)(de)拔伸牽引下,在(zai)(zai)轉向屈肘時的(de)(de)(de)運動(dong)變化(hua)(hua)中,同時在(zai)(zai)局(ju)部(bu)施以端(duan)提擠按(an)等手(shou)(shou)法(fa)(fa)(fa)(fa)(fa),可使(shi)一次復(fu)位(wei)(wei)(wei)(wei)(wei)(wei)的(de)(de)(de)成功率大(da)(da)為提高(gao)。又如朧骨(gu)(gu)內(nei)上裸,“骨(gu)(gu)折伴肘脫(tuo)位(wei)(wei)(wei)(wei)(wei)(wei),骨(gu)(gu)折片(pian)可卡(ka)入關節間(jian)隙內(nei),僅(jin)憑(ping)局(ju)部(bu)手(shou)(shou)法(fa)(fa)(fa)(fa)(fa)很難復(fu)位(wei)(wei)(wei)(wei)(wei)(wei)而(er)(er)代之(zhi)以伸肘撓偏旋后(hou)位(wei)(wei)(wei)(wei)(wei)(wei)的(de)(de)(de)牽引,增大(da)(da)尺膿關節間(jian)隙,在(zai)(zai)屈肌健(jian)的(de)(de)(de)緊張牽拉中促使(shi)附著之(zhi)內(nei)上裸骨(gu)(gu)片(pian)脫(tuo)出(chu),后(hou)迅(xun)捷改作旋前位(wei)(wei)(wei)(wei)(wei)(wei)屈肘運動(dong),并將拇(mu)指在(zai)(zai)肘內(nei)側自下而(er)(er)上推按(an),肘脫(tuo)位(wei)(wei)(wei)(wei)(wei)(wei)及(ji)移位(wei)(wei)(wei)(wei)(wei)(wei)骨(gu)(gu)片(pian)均可同時到位(wei)(wei)(wei)(wei)(wei)(wei),方法(fa)(fa)(fa)(fa)(fa)簡潔有(you)(you)效(xiao),內(nei)蘊實踐(jian)之(zhi)精(jing)要。
小(xiao)夾(jia)板治療骨折已(yi)(yi)成為大多(duo)數(shu)專家學(xue)者的共識,但臨床時有(you)(you)(you)發(fa)生(sheng)(sheng)的并發(fa)癥亦使(shi)人感(gan)到困惑(huo),反思治療的失(shi)(shi)誤固然重要,而似(si)是(shi)而非(fei)的所謂“小(xiao)夾(jia)板綜合癥”有(you)(you)(you)待澄(cheng)清(qing)。本著一切(qie)從實踐(jian)出(chu)(chu)發(fa)諸(zhu)老(lao)分析并發(fa)癥中最(zui)常見(jian)之血循環障礙(ai)有(you)(you)(you)部(bu)分損傷時已(yi)(yi)經(jing)產生(sheng)(sheng),有(you)(you)(you)的為治療不(bu)當所引發(fa),有(you)(you)(you)的為外(wai)固定器具所共有(you)(you)(you),籠(long)統(tong)(tong)冠之以“小(xiao)夾(jia)板綜合癥”有(you)(you)(you)失(shi)(shi)偏頗,從而在理(li)論與實踐(jian)上正本清(qing)源。并提出(chu)(chu)正確使(shi)用小(xiao)夾(jia)板所應注意事項及血循環障礙(ai)等癥狀的早(zao)期(qi)觀察(cha)和治療處理(li),強調骨折治療是(shi)多(duo)方位的系統(tong)(tong)工程,尤應重視治療措施的全(quan)面性,才(cai)能準確反映(ying)整體觀念思想指導下(xia)的中醫學(xue)特色。
勇于創新善于總結
近(jin)年(nian)來諸老致力于中(zhong)老年(nian)退行性(xing)病(bing)變(bian)的研究(jiu),在診治(zhi)(zhi)膝關節增(zeng)生性(xing)炎癥方(fang)面別(bie)有(you)心得,認(ren)為(wei)(wei)人(ren)體(ti)令受(shou)衰老變(bian)化的自然進程影響,“膝為(wei)(wei)筋(jin)之府(fu)”,首當其沖,虛責肝腎不足。而(er)(er)臨床(chuang)表(biao)現以疼痛(tong)、腫脹、功(gong)能障礙(ai)居多(duo),實屬痰(tan)痕阻滯。針對(dui)虛實夾雜(za)的病(bing)理變(bian)化,創立“二藤湯”為(wei)(wei)代表(biao)方(fang)劑急治(zhi)(zhi)其標,求(qiu)得速效,待癥狀有(you)所(suo)減退,再緩治(zhi)(zhi)其本(ben),輔之以功(gong)能鍛煉,流(liu)通氣血,增(zeng)強體(ti)質,固本(ben)以防復(fu)(fu)發(fa),這種(zhong)逆受(shou)傷機制辨證思(si)維更為(wei)(wei)符合中(zhong)老年(nian)人(ren)的生理特點,每(mei)多(duo)應(ying)驗而(er)(er)效,復(fu)(fu)發(fa)者較少。
隨著社(she)會進(jin)入(ru)老(lao)齡化,頸椎病(bing)的(de)(de)發病(bing)率呈上升態勢,尋求(qiu)便(bian)捷新穎的(de)(de)治(zhi)療(liao)(liao)方(fang)(fang)法(fa)受(shou)到人們的(de)(de)普遍關注諸(zhu)老(lao)立足(zu)于(yu)傳(chuan)統牽引(yin)方(fang)(fang)法(fa)的(de)(de)改進(jin)提(ti)高(gao),研(yan)制出“可活動(dong)(dong)式頸托支(zhi)架”,變(bian)(bian)坐或臥位不(bu)動(dong)(dong)的(de)(de)垂(chui)直懸吊牽引(yin)為(wei)(wei)可調節式頂托牽引(yin),使(shi)治(zhi)療(liao)(liao)過程(cheng)不(bu)受(shou)走動(dong)(dong)及(ji)工作影響,既有利(li)于(yu)頸肌鍛(duan)煉(lian),又質輕(qing)靈活而(er)使(shi)用(yong)方(fang)(fang)便(bian),深受(shou)病(bing)員(yuan)好評。基于(yu)退行性變(bian)(bian)是產(chan)生(sheng)諸(zhu)多癥狀(zhuang)的(de)(de)病(bing)理基礎,臨(lin)床(chuang)(chuang)又以椎間隙狹窄及(ji)生(sheng)理弧度改變(bian)(bian)為(wei)(wei)主要特點,諸(zhu)老(lao)為(wei)(wei)中老(lao)年人設(she)計之藥(yao)物頸枕(zhen),兼容治(zhi)療(liao)(liao)與預(yu)防(fang)兩種(zhong)功效,內(nei)含種(zhong)中藥(yao),芳香怡人,宣通毛竅,弧形(xing)高(gao)度墊于(yu)頸后更(geng)符合(he)頸椎生(sheng)理形(xing)狀(zhuang),可有緩慢持久的(de)(de)牽引(yin)效果(guo),又有助于(yu)恢復和改善頸曲(qu),寓動(dong)(dong)于(yu)靜,省(sheng)時省(sheng)事,已廣泛使(shi)用(yong)于(yu)臨(lin)床(chuang)(chuang)。上述二項(xiang)均獲省(sheng)級科技成果(guo)獎,為(wei)(wei)頸椎病(bing)治(zhi)療(liao)(liao)方(fang)(fang)法(fa)增添了新內(nei)容。
對于常見的(de)頸(jing)(jing)(jing)(jing)(jing)(jing)椎病(bing)的(de)研究,諸教授(shou)有2項(xiang)科研成(cheng)果,一(yi)為(wei)(wei)“支撐式可活動頸(jing)(jing)(jing)(jing)(jing)(jing)托”,它既(ji)可支撐頸(jing)(jing)(jing)(jing)(jing)(jing)椎(因(yin)托頭顱(lu),擴(kuo)大頸(jing)(jing)(jing)(jing)(jing)(jing)椎間隙,穩定和(he)減輕頸(jing)(jing)(jing)(jing)(jing)(jing)椎負(fu)荷),又(you)能使患者在輕度抗阻力下做頸(jing)(jing)(jing)(jing)(jing)(jing)部活動,鍛練頸(jing)(jing)(jing)(jing)(jing)(jing)肌(ji),調節頸(jing)(jing)(jing)(jing)(jing)(jing)椎內外平(ping)衡,起到“動靜結合”的(de)作(zuo)用。該器(qi)具克服了石(shi)膏頸(jing)(jing)(jing)(jing)(jing)(jing)托、固定頸(jing)(jing)(jing)(jing)(jing)(jing)托可引起頸(jing)(jing)(jing)(jing)(jing)(jing)背肌(ji)肉萎縮和(he)關節僵凝的(de)不足(zu),獲(huo)江(jiang)蘇(su)省衛生(sheng)(sheng)科技進步(bu)二等獎;第(di)二項(xiang)科研成(cheng)果為(wei)(wei)中藥頸(jing)(jing)(jing)(jing)(jing)(jing)枕治療頸(jing)(jing)(jing)(jing)(jing)(jing)椎病(bing),該頸(jing)(jing)(jing)(jing)(jing)(jing)枕是睡眠時墊于頸(jing)(jing)(jing)(jing)(jing)(jing)后部的(de)中藥頸(jing)(jing)(jing)(jing)(jing)(jing)枕,功能為(wei)(wei)疏風(feng)活血(xue),改善頸(jing)(jing)(jing)(jing)(jing)(jing)椎生(sheng)(sheng)理(li)弧度,質地柔軟,富有彈性,寓治療于休息(xi)之中,深得頸(jing)(jing)(jing)(jing)(jing)(jing)椎病(bing)患者的(de)贊(zan)譽。此項(xiang)成(cheng)果已(yi)轉(zhuan)讓給(gei)南京棲霞(xia)區營防理(li)療器(qi)械廠,商品名為(wei)(wei)“頸(jing)(jing)(jing)(jing)(jing)(jing)康樂中藥頸(jing)(jing)(jing)(jing)(jing)(jing)枕”并投放市場(chang),1995年獲(huo)江(jiang)蘇(su)省衛生(sheng)(sheng)科技進步(bu)三等獎。
2016年榮(rong)獲江蘇(su)十大“國醫(yi)(yi)名師”稱(cheng)號,此外,還曾榮(rong)獲第二屆江蘇(su)省“醫(yi)(yi)師終身榮(rong)譽獎(jiang)”,江蘇(su)省中醫(yi)(yi)院“醫(yi)(yi)師終身榮(rong)譽獎(jiang)”等。